BSN 485 Exam 1 V1 | BSN 485 Capstone
Leadership | Q&A with Rationale (BSN485
Exam 1) | Nightingale College
1. A nurse manager is observing a staff nurse who is consistently late for shifts. The manager
decides to address the behavior by discussing the impact on team morale and patient safety.
Which leadership style is primarily being utilized?
A. Autocratic
B. Transactional
C. Transformational
D. Laissez-faire
Correct Answer: C
Rationale: Transformational leaders motivate others by focusing on the ‘big picture’ and
team morale rather than just rules. They inspire staff to look past self-interest for the good
of the group or organization. This style is characterized by intellectual stimulation and
individualized consideration.
2. A registered nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
appropriate for the RN to delegate?
A. Performing the initial assessment on a post-operative patient
B. Administering a prescribed intramuscular injection
,C. Developing a plan of care for a client with complex needs
D. Providing initial discharge teaching to a patient
Correct Answer: B
Rationale: LPNs are trained to perform technical skills such as medication administration,
including IM injections. RNs are responsible for tasks involving clinical judgment, such as
initial assessments, plan of care development, and initial education. Delegation must follow
the ‘Five Rights’ to ensure patient safety and professional standards.
3. A nurse manager is resolving a conflict between two nurses regarding the unit schedule.
The manager suggests that both nurses give up one weekend off to ensure coverage. Which
conflict management strategy is used?
A. Competing
B. Compromising
C. Avoiding
D. Collaborating
Correct Answer: B
Rationale: Compromising involves both parties giving up something to reach a mutually
acceptable solution. It is often referred to as a ‘lose-lose’ or ‘partial win-win’ strategy
because neither party gets exactly what they wanted. This approach is effective when a
quick middle-ground solution is needed for relatively equal-power parties.
, 4. According to Kurt Lewin’s Theory of Change, which stage involves the manager identifying
the problem and creating a sense of urgency for change?
A. Moving
B. Refreezing
C. Evaluating
D. Unfreezing
Correct Answer: D
Rationale: Unfreezing is the first stage where the leader helps others let go of an old
pattern that is no longer productive. It involves identifying the need for change and
overcoming resistance by increasing the driving forces. This stage prepares the
organization or individuals for the transition to a new state.
5. Which ethical principle is a nurse upholding when they support a patient’s decision to
refuse a life-saving blood transfusion due to religious beliefs?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Correct Answer: C
Leadership | Q&A with Rationale (BSN485
Exam 1) | Nightingale College
1. A nurse manager is observing a staff nurse who is consistently late for shifts. The manager
decides to address the behavior by discussing the impact on team morale and patient safety.
Which leadership style is primarily being utilized?
A. Autocratic
B. Transactional
C. Transformational
D. Laissez-faire
Correct Answer: C
Rationale: Transformational leaders motivate others by focusing on the ‘big picture’ and
team morale rather than just rules. They inspire staff to look past self-interest for the good
of the group or organization. This style is characterized by intellectual stimulation and
individualized consideration.
2. A registered nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
appropriate for the RN to delegate?
A. Performing the initial assessment on a post-operative patient
B. Administering a prescribed intramuscular injection
,C. Developing a plan of care for a client with complex needs
D. Providing initial discharge teaching to a patient
Correct Answer: B
Rationale: LPNs are trained to perform technical skills such as medication administration,
including IM injections. RNs are responsible for tasks involving clinical judgment, such as
initial assessments, plan of care development, and initial education. Delegation must follow
the ‘Five Rights’ to ensure patient safety and professional standards.
3. A nurse manager is resolving a conflict between two nurses regarding the unit schedule.
The manager suggests that both nurses give up one weekend off to ensure coverage. Which
conflict management strategy is used?
A. Competing
B. Compromising
C. Avoiding
D. Collaborating
Correct Answer: B
Rationale: Compromising involves both parties giving up something to reach a mutually
acceptable solution. It is often referred to as a ‘lose-lose’ or ‘partial win-win’ strategy
because neither party gets exactly what they wanted. This approach is effective when a
quick middle-ground solution is needed for relatively equal-power parties.
, 4. According to Kurt Lewin’s Theory of Change, which stage involves the manager identifying
the problem and creating a sense of urgency for change?
A. Moving
B. Refreezing
C. Evaluating
D. Unfreezing
Correct Answer: D
Rationale: Unfreezing is the first stage where the leader helps others let go of an old
pattern that is no longer productive. It involves identifying the need for change and
overcoming resistance by increasing the driving forces. This stage prepares the
organization or individuals for the transition to a new state.
5. Which ethical principle is a nurse upholding when they support a patient’s decision to
refuse a life-saving blood transfusion due to religious beliefs?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Correct Answer: C
